Quote from grntea
why does everybody come to an and ***and moan about staffing in snfs and ltc and i don't ever see anyone saying what they did about this? is there anybody out there who has promulgated some sort of action to effect change in these situations? please, i wanna hear about it! everyone wants to hear about it!
you know, when you make out a variance report ("meds for south wing given two and one half hours late due to new admission assessment," "no weights done on first of the month, insufficient staff," "mds done 4 days early as i will be away on vacation and there is no one to cover me," "foley catheter care on five residents not done this shift, no time due to extended med pass.") it goes to your risk manager. if you are part of a corporate structure, it goes to the corporate risk manager.
risk managers get very cranky about this sort of thing, because they realize that when there are a lot of these, they indicate system-wide risk exposure, and that means money (fines, judgments), and that gets management's attention. if everyone does them, especially if you are in touch with colleagues from the other facilities in your network, you could <gasp> have an effect for the better.
if you are really ripped about the situation you're in, and you get no response from the risk manager maneuver, you could make anonymous reports to the state. but do something. act like professionals, the professional advocates you are. it's for the residents, see.
i have made many variance reports in my day for other nurses. it came to a point that i was making them on a daily basis and could not keep up with my work and i would leave work hours late doing these reports. i'm not sure if you've ever worked in ltc but this is where you will find most falsification of records.
greentea i have tried to do something about this. i have contacted the bon in my state with the concerns i had about staffing, and the mega med pass in ltc, and was turned away. the bon doesn't give a damn about nurses. the only time they want to protect patients is when something goes really wrong and a patient suffers. so much for prevention.
i have spoke to obudsman as i felt residents were not receiving proper care at one particular facility.
i have spoke with administrators, dons, and previous coworkers about my concerns at places i've work. it has gotten me no where. so yes, i do come on all nurses to b@#^$ and moan because no one else in the real world does anything.
so next time you accuse me or anyone else for not being professional or a patient advocate take the time to ask first. ummm, okay?
any more suggestions, honey?